Organization
MOUNTAIN VIEW DENTAL
Active
Parent organization
1710101076
Organization subpart
Yes
Provider details
NPI number
Legal business name
1710101076
Authorized official
BENJAMIN CRUSAN DDS (DENTIST/OWNER)
(360) 887-1177
Entity
Organization
Contact information
Practice address
5284 PIONEER ST STE 120, RIDGEFIELD, WA 98642-3371
(360) 887-1177
(360) 887-1178
Mailing address
5284 PIONEER ST STE 120, RIDGEFIELD, WA 98642-3371
(360) 887-1177
(360) 887-1178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/14/2026
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